RNmb

Salem Hospital just opened their Summer Internship, but it will only be open to apply from April 18-22. Here is the link: http://www.salemhospital.org/site/careers/erpims.html Job Title:RN Internship Summer 2011Site:Salem HospitalStatus:Full-TimeShift:VariousOvertime Schedule:12/40Salary Range:$30.10 - $44.58/hrPay Grade:N2Job Number:6679Recruiter Name:Amy HankinsHiring Manager Name:VariousWorking Days:Variable, Including weekends and holidays, 36 hours/week ]This position will be posted Monday, April 18, 2011 through close of business on Friday, April 22, 2011. If you wish to be considered for this opportunity, your application must be received no later than 5:00pm on Friday, April 22, 2011. Salem Health is a not-for-profit regional health system in Oregon's mid-Willamette Valley that includes Salem Hospital, along with West Valley Hospital, a critical-access hospital; Willamette Health Partners (medical group comprising primary-care and specialty practices), and other affiliated healthcare organizations.

just a thought: clatsop county - jail nurse - clatsop county department of public health - astoria, or this position is a part time jail nurse, 22.5 hours per week. duties include a variety of professional nursing and routine medical services which are related to the health care of inmates held in the clatsop county jail, using independent judgment in the triage and assessment of medical, dental, and mental health problems of inmates. the jail nurse operates under the direction of the jail physicians(s), sheriff, jail commander, and the nursing supervisor of the department of public health, and works with jail health care staff, corrections staff, and outside providers in the provision of inmate health care. qualifications: must have a diploma, associate or bachelor's degree from an accredited school of nursing. must have a rn license issued by the state of oregon, or the ability to be licensed at the time of appointment. background in public health, psychiatric, emergency, medical/surgical, and critical care nursing and chronic disease care and management are desireable. salary: $24.87 - 30.24/hour application process: for more information go to www.co.clatsop.or.us. obtain and submit completed clatsop county employment application form to the state of oregon employment department, 450 marine drive, suite 110, astoria, oregon 97103 (503)325-4821, fax (503) 325-2918. applications will be accepted until position is filled.

From the sounds of it, this would have essentially happened the same way on my unit. Lab does cancel ordered labs without informing the floor or the MD, most of the time because they were duplicate orders (ex: a CMP ordered after a BMP, so the BMP would be cancelled). To be honest, I do not know our policy on lab cancelling other orders and thats something I will look into. Our incident reports are called "Patient Safety Alerts." When a situation arises where the nurse or charge nurse feels a PSA should be written, the responsibility does fall on the person who found the error to submit the report. They sdefinitely hould look at the situation from every angle before writing the PSA, but it sounds like even though your coworkers did that, they were unable to find what should have probably been easy enough to figure out. After the PSA is submitted, our manager usually will look into it herself and if need be, discuss what happened with that person in private. As long as the situation is resolved, the only people who see the PSA are the person submitting it, person it involves and our manager. That way, in a situation like yours, it is easily taken care of and it does not affect or involve anyone that it shouldn't. We treat them more as learning experiences and use them to identify areas of improvement for the unit as a whole. I hope this helps!

I am a charge nurse which on my floor means bedding patients and assisting in any way needed on the floor. We have unit clerks that enter orders for us and the RN assigned to that patient is responsible for signing them off. We also do 12 hour chart checks to ensure all orders are entered and carried out correctly. In Feb. our physicians will be entering in their own orders. Should be interesting.

I went through the same exact scenario except I trained to charge at 8 months on my post-surgical step-down telemetry unit. We have 25 patients, so we go up to 6 RN's and 2 CNA's on nights. I was given 3 days of orientation (which weren't the greatest because of course they were crazy hectic nights!). I was then charge for over half my shifts for the next month or so. I felt the same way you did, how could I help others who have been a nurse longer than me. The answer is that there are certain types of people who are good at charge and certain types that aren't. A lot of the experienced nurses on my floor have no desire to be charge, and frankly would not be good at it. Even though it is a scary experience at first, it is the ultimate compliment that others think you have the ability to lead. Just remember that you are always going to be put in situations where you are uncomfortable, but that's how we learn. After a little while at charge, you are going to learn many resources to utilize in those kinds of situations. It will be a great thing and one you won't regret in your nursing career.

Did you look at Salem Hospital? I know they have several openings, including some in critical care. The even says "Open to new grads." It's probably worth a look.

Just looking for some feedback: I recently noticed a job posting in my area for a Lead RN position at an Urgent Care clinic run by one of the biggest clinics in my area. I've been working as a floor nurse for the last 14 months on a surgical telemetry floor and have been doing charge for the last couple of months. Since I am really tired of being in the hospital and the hours would be much better, I am thinking about applying. My only hold up is that I don't know that much about urgent care nursing and what exactly the role of lead RN would be. Would I lose too much of the skills I picked up in the last year? My ultimate goal is to work in public health, but those jobs are scarce in my area right now. Just looking for any kind of feedback anyone can give me. Thanks!

Keep in mind also that I don't believe Walden is accredited. I could be wrong about that, but that's what I have heard. So you might want to check into that before starting something long term that would require your school to be accredited.

At my hospital, they currently have openings for an internship in the OR that I believe you have to only have one year of experience (or maybe even less). The internship is for 6 months and it's a combination of classroom and OR time. After the internship, you decide which area of the OR you would like to be in and on which shift- and there you go. Hope this helps!

That helps a lot, thanks! Basically they told us that my mom is the only one who should be tested for the BRCA1 and BRCA2 genes and then if she is negative, then I would be too. But, she recommended me getting the other tests. Also, she recommended that my mom have her ovaries removed, for me to stay on birth control right up until I want to have kids then get my ovaries removed (basically she told me to pop a couple kids out right now lol). We're still looking into all of it, so your information helps a lot! Thanks

It has recently come to light how extensive cancer is in my family. My mother has 8 siblings, 5 sisters (all of whom have cancer) and 3 brothers (one died when he was 2). Here is a breakdown of the cancer: -2 of my mother's aunts- both died of breast cancer My mother's sisters: -Rita: recently diagnosed with breast cancer (in her 60's), double mastectomy. No cancer in the lymph nodes -Alice: ovarian cancer, currently under treatment and cancer has not moved (late 60's) -Kay: lung/throat/bone cancer, finished radiation a year ago. Just found out it is moved into her ribs, lymph nodes and other lung. Will start treatment again this week. Smoker (early 60's) -Eileen: deceased from lung/throat cancer. Did 2 years of treatment, smoker for most of her life -Patsy: deceased from lung cancer, also a smoker for most of her life Cousins: -Linda: who is Rita's (see above) daughter also diagnosed with breast cancer in both breasts with some lymph node involvement. Had double mastectomy in May and is undergoing treatment (in her 40's) -Rachel: is Eileen's (see above) granddaughter, diagnosed with ovarian cancer in her 30's, currently under treatment (is very private, not sure how it is going) -Koozi: multiple brain tumors (not sure etiology) My mother and I are both in great health (though she has Diverticulitis and had a bowel resection a couple years ago), do not smoke, we both do our annual exams and monthly breast exams (we both have fairly large breasts). We recently went to see a women's health specialist in our area to show her our history and see what we should be doing. She recommended that all the women in our family have the HE4 and Ca125 tests done and to go see a geneticist to let us know our risks. My question is to those who are familiar with these tests/oncology. I have heard that they are somewhat controversial and are not always accurate. I am 24 years old and my mom is 61. I understand that I would have to live with the results of these tests, so my question is do you think this is the right course of action. Is there anything else we should be doing? Thanks! -

Ask questions! I ask questions whenever I don't know something because how else are you going to learn it? It's better to ask when you have the change rather than wait for the time when you get into trouble to learn it. Also, if I hear someone is doing a procedure or has something different that I've never done/heard of, I always ask if I can help or come watch. For example, I hadn't pulled a jugular line and one of our nurses was doing it, so I asked if I could help and she walked me through the steps while I did it. We have the kind of people on our unit that love to get everyone on the same level, so we're all really good with that kind of stuff. In return, I had one of the new grads tell me she was so glad I am here because I teach her things she needs to know. It comes full circle!

I just passed my one year mark! Graduated with my BSN June 2008, passed the NCLEX and started my first job as an RN on a Surgical Telemetry floor (step-down unit) in July 08. The reason I am posting this is because though I was a good student and had all the confidence in the world, I had the absolute WORST interview for my first job. I was so anxious to apply that I applied way too early, before I had done my senior practicum and had really gotten the experience of hands-on nursing. I did a phone interview with 6 nurse managers. I took the call expecting to answer all the normal interview questions. I had no idea that they were going to ask clinical questions. I immediately got so nervous that I did not answer any of the questions even remotely right. I got off the phone as quickly as I could and thought my career had ended before I even graduated. I was devasted, nursing is all I have ever wanted to do. The silver lining was my senior practicum was planned for one of the floors that I interviewed for. Thankfully, the nurse manager decided to take a chance on me and wait to see how I did during my final months of school before making the decision on whether to hire me. By the time I got on the floor, I was able to prove that I actually AM a competent nurse and not only that, I can excel at this profession. Now, after less than a year on the floor, I am a charge nurse on the floor and I am one of the nurses that others go to for help and for a reference. So please, I know that there are always shifts that make you feel like "Why am I going this" and "What did I get myself into," just remember the reasons for why you started this journey!

I experienced the same thing. Since we lived in a rural community (where our school was) and we only had 30 people in our class, a group of us spent almost every waking moment together. We did all our school stuff together and spent a lot of time outside of school blowing off steam. I even wanted one of them to be a bridesmaid at my wedding. Turns out, less than 6 months after graduating, we barely speak to each other. The girl that I wanted to be my bridesmaid didn't return my call until I was more than halfway through my planning. So you are definitely not alone! There is a silver lining though, one of my close friends from school decided to move across the state and take a position of my floor. So there can be some good down the road and, you make new friends at your job! Good luck

Thanks, the Reed website was exactly what I was looking for!